Course Outcome covered in this Assignment:

Analyze financial models of reimbursement and their effects on patients and health care providers.

Directions

For this Assignment, you will distinguish between Medicare and Medicaid. Your paper must include the following topics:

• Provide a brief history of both Medicare and Medicaid.
• Define the populations that they are intended to serve.
• Determine whether your state has expanded Medicaid.
• Articulate the reasons that states choose not to participate in Medicaid expansion.
• Analyze your role in your specialized area of nursing practice when interfacing with Medicare and/or Medicaid recipients. 

The word count for your paper, excluding the title page and references page, will be 800–1200 words. You must include a minimum of (5) different scholarly references.

Assignment Requirements

Before finalizing your work, you should:

• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors. 

Your writing Assignment should:

• follow the conventions of Standard English (correct grammar, punctuation, etc.);
• be well ordered, logical, and unified, as well as original and insightful;
• display superior content, organization, style, and mechanics; and
• use APA formatting and citation style.

Directions

For this Assignment, you will distinguish between Medicare and Medicaid. Your paper must include the following topics:

• Provide a brief history of both Medicare and Medicaid.
• Define the populations that they are intended to serve.
• Determine whether your state has expanded Medicaid.
• Articulate the reasons that states choose not to participate in Medicaid expansion.
• Analyze your role in your specialized area of nursing practice when interfacing with Medicare and/or Medicaid recipients. 

The word count for your paper, excluding the title page and references page, will be 800–1200 words. You must include a minimum of (5) different scholarly references.

Assignment Requirements

Before finalizing your work, you should:

• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors. 

Your writing Assignment should:

• follow the conventions of Standard English (correct grammar, punctuation, etc.);
• be well ordered, logical, and unified, as well as original and insightful;
• display superior content, organization, style, and mechanics; and
• use APA formatting and citation style.

To prepare:

• Review the Learning Resources.
• Reflect on your current nursing practice and your use of databases, including where, how, and why you use databases.
• Identify and consider who maintains your data.

 Harrington, J. (2016). Relational database design and implementation (4th ed.). Cambridge, MA: Morgan Kaufmann.
Chapter 1, “The Database Environment” (pp. 3–26)
Chapter 2, “Systems Analysis and Database Requirements” (pp. 27–43)

Sargin, M., Erdogan, S. B., Bastopcu, M., Arslanhan, G., Tasdemir, M. M., & Orhan, G. (2019). Cost of healthcare associated with deep vein thrombosis in patients treated with Warfarin in Turkey: 2010–2013 database analysis of a tertiary care center. Value in Health Regional Issues, 19, 81–86.

By Day 3 of Week 1

Post a description of your current area of nursing practice. Then, describe how databases are used in your nursing practice, including a description of who maintains those databases. Explain how databases may facilitate and support your practice. Be specific and provide examples. Then, explain how you might meaningfully interpret data for better decision-making.

Chapter 3

1. How do heredity and environment influence traits?

Chapter 5

2. Summarize and evaluate Piaget’s theory of cognitive development 

Textbook: Essentials of Understanding Psychology

12th edition              

Author: Robert Feldman

Publisher: McGraw Hill

ISBN-13: 978-1259531804

DQ should follow APA guidelines and be 300 words or more.

*Ran through Grammarly.com, not plagiarised and cited correctly*

Total pts 100

Considering the video and the earlier article you read on Bauerline, address following questions:

1. Do you find that this is the ‘Dumbest’ generation? Why or why not?
2. Do you believe generational attributes affect communication? Explain.
3. How do you see the advances and concentration on technology impacting you, as a professional nurse? Are there communication challenges you foresee when caring for patients and families?
4. How can nurses be efficient and compassionate communicators?

The purpose of this assignment is to identify an area or topic within health care that you would like to further understand.

In this assignment, you will begin to create a research rough draft based on the information you prepared in the “Identification of a Research Topic” from the topic 1 assignment. Utilize the GCU library and locate three additional articles that will complement and support your specific topic of interest. In a 1,500- to 2,000-word research rough draft, utilizing the research process (refer to your text, Understanding Research), include the following:

1. An introduction to the topic.
2. An explanation of how the articles are used in scholarly research within health care as it relates to the allied health care profession.
3. A discussion of the ethical considerations for data collection.
4. An explanation of what the data reveals in terms of statistical analysis, including quantitative and qualitative. Include a discussion of the conclusions that can be made from the data and how it would be applied to the health care setting.
5. An evaluation, based on the research, of whether there is enough information to make a decision on the effectiveness on the topic as it relates to the allied health care professional.
6. A summary of the conclusions from the articles.

Support your rough draft with at least 3 scholarly resources.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successf

In your role, you must understand group processes and stages of formation, as this will help you develop groups and determine an individual’s appropriateness for group therapy. Whether you are at the beginning stages of group formation or facilitating a session for a developed group, it is important to consider factors that may influence individual client progress. For this Assignment, as you examine the video Group Therapy: A Live Demonstration in this week’s Learning Resources, consider the group’s processes, stages of formation, and other factors that might impact the effectiveness of group therapy for clients.

Learning Objectives

Students will:

• Analyze group processes and stages of formation
• Analyze curative factors of groups
• Analyze the impact of curative factors on client progress
• Recommend strategies for managing intragroup conflict

To prepare:

• Review this week’s Learning Resources and reflect on the insights they provide on group processes.
• View the media, Group Therapy: A Live Demonstration, and consider the group dynamics.

The Assignment

In a 2- to 3-page paper, address the following:

• Explain the group’s processes and stage of formation.
• Explain curative factors that occurred in the group. Include how these factors might impact client progress.
• Explain intragroup conflict that occurred and recommend strategies for managing the conflict. Support your recommendations with evidence-based literature.

Review “Lies, Damned Lies and Statistics: Clinical Importance Versus Statistical Significance in Research,” located in topic materials.

Provide examples of how you addressed feasibility and statistical versus clinical significance in your proposal. For example, why did you select a four-week time frame for your project versus a power analysis? Did you select this because it was feasible? Why or why not and explain.

What is the difference between clinical and statistical significance and why are both important to the patient improvement outcomes of your project?

Assessment 2

• Quality Improvement Proposal
  • Overview: 
  • Write a quality improvement proposal, 5–7 pages in length, that provides your recommendations for expanding a hospital’s HIT to include quality metrics that will help the organization qualify as an accountable care organization.
    Health care has undergone a transformation since the release of the Institute of Medicine’s 2000 report To Err Is Human: Building a Safer Health System. The report highlighted medical errors as a contributing factor leading to poor patient outcomes. The Institute of Medicine challenged organizations to implement evidence-based performance improvement strategies in order to improve patient quality and safety. Multiple governmental and regulatory agencies, such as the Centers for Medicare and Medicaid Services (CMS) and the Agency for Healthcare Quality and Research (AHRQ), vowed to strengthen and improve incentives for participation, safety, quality, and efficiency in accountable care organizations (ACOs).
    Health  information technology (HIT) performs an essential role in improving health outcomes of individuals, the community, and populations. Health organizations, consumer advocacy groups, and regulatory committees have made a commitment to explore current and future opportunities that HIT offers to continue momentum to meet the Institute of Medicine’s goal of improving safety and quality.
    Understanding HIT is important to improving individual, community, and population access to health care and health information. HIT enables quick and easy access to information for both patients and providers. Accessible information has been shown to improve the patient care experience and reduce redundancies, thereby reducing health care costs.
    This assessment provides an opportunity for you to make recommendations for expanding a hospital’s HIT in ways that will help the hospital qualify as an ACO.
    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
  • Competency 2: Explain the relationship between care coordination and evidence-based data. 
    • Recommend ways to expand an organization’s HIT to include quality metrics.
    • Identify potential problems that can arise with data gathering systems and outputs.
  • Competency 3: Use health information technology to guide care coordination and organizational practice. 
    • Describe the main focus of information gathering in health care and how it contributes to guiding the development of organizational practice.
  • Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards. 
    • Write clearly and concisely, using correct grammar and mechanics.
    • Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
  • Reference
    Institute of Medicine. (2000). To err is human: Building a safer health system. Washington, DC: National Academies Press.
    Competency Map
    CHECK YOUR PROGRESSUse this online tool to track your performance and progress through your course.
• Toggle DrawerResourcesHealth Informatics
  • Padden, J. (2019).Documentation burden and cognitive burden: How much is too much information? CIN: Computers, Informatics, Nursing, 37(2), 60–61.
  • Son, H., & Nahm, E.-S. (2019). Older adults’ experience using patient portals in communities: Challenges and opportunities. CIN: Computers, Informatics, Nursing, 37(1), 4–10.
  • Venzon, A., Le, T. B., & Kim, K. (2019). Capturing social health data in electronic systems: A systematic review. CIN: Computers, Informatics, Nursing, 37(2), 90–98.
  • SHOW LESSAccountable Care Organizations
  • Centers for Medicare and Medicaid Services. (n.d.).Accountable care organizations (ACOs).Retrieved from https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/index.html 
    • Provides general information about ACOs and links to additional information and resources.
  • Spencer, G. (2014).Making the move to an ACO. Healthcare Financial Management, 68(2), 92–96x. 
    • Describes how a multispecialty group practice became one of the first physician group practices to be designated a Medicare Shared Savings Program ACO.
  • Merit-Based Incentive Payment System
    The following resources provide information about the Merit-Based Incentive Payment System (MIPS). This system, instituted by the Centers for Medicare and Medicaid Services in 2017, replaced the Physician Quality Reporting System (PQRS). MIPS is a payment system that emphasizes and rewards exceptional health care delivery and performance.
  • Cardona, D. M., Black-Schaffer, S., Shamanski, F., & Myles, J. L. (2017).Medicare’s new quality payment program has started—Are you ready?Archives of Pathology & Laboratory Medicine, 141(6), 741–745.
  • Centers for Medicare and Medicaid Services. (n.d.).Quality Payment Program: Improvement activities.Retrieved from https://qpp.cms.gov/mips/improvement-activities
  • Centers for Medicare and Medicaid Services. (n.d.).Quality Payment Program: MIPS overview. Retrieved from https://qpp.cms.gov/mips/overview
  • Hayden, R., & Coffin, J. (2016). The components of the Merit-Based Incentive Payment System. Journal of Medical Practice Management: MPM, 32(3), 173–176.
  • Writing Resources
    You are encouraged to explore the following writing resources. You can use them to improve your writing skills and as source materials for seeking answers to specific questions.
  • APA Module.
  • Academic Honesty & APA Style and Formatting.
  • APA Style Paper Tutorial [DOCX].
  • Capella Resources
  • ePortfolio.
  • Research Resources
    You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN-FP6612: Emerging Health Care Models and Care Coordination Library Guide can help direct your research. The Supplemental Resources and Research Resources, both linked from the navigation menu in your courseroom, provide additional resources to help support you.
    As you review these resources, you may want to consider the following questions:
  • What is an ACO? 
    • How are Medicare cost-sharing ACOs structured?
  • How could MIPS be used to define the quality of health care in the future? 
    • Does MIPS affect advance practice nurses?
    • If so, how? If not, why not?
  • How does health care data affect the care coordination process in nursing practice?
  • What is the role of nursing informatics and of health care informatics within the broader scope of information technology?
  • What is the role of informatics in supporting care management profiles in productivity metrics, quality reporting, health education, and predictive analytics?
  • What potential or actual problems with data gathering systems and output could arise within your practice setting?
• Asssessment InstructionsPreparation
  In this assessment, you will again assume the role of case manager at Sacred Heart Hospital. This time, you are asked to develop a strategy for tracking quality metrics to help facilitate the hospital’s qualification for ACO status.
  Before drafting your proposal, complete the following simulation exercise:
  • Vila Health: Quality Metrics Tracking.
  • Note:Remember that you can submit all or a portion of your draft to Smarthinking for feedback before you submit the final version of this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
    Requirements
    Develop a proposal to expand Sacred Heart Hospital’s HIT to better include quality metrics—with the ultimate goal of qualifying for ACO status. Use the following template for your proposal:
  • APA Style Paper Template [DOCX].
  • Writing the Proposal
    The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that your proposal addresses each point, at a minimum. You may also want to read the Quality Improvement Proposal Scoring Guide to better understand how each criterion will be assessed.
  • Recommend ways to expand the hospital’s HIT to include quality metrics.
    • How will you collect information and solve the problem of coordinating care for patients who are not getting diagnostic tests, such as mammograms or colonoscopies?
    • What can you do to track health information from the community or the target population to make necessary improvements?
    • How can you most effectively and efficiently show the role of informatics in nursing care coordination?
    • What evidence supports your recommendations?
  • Describe the main focus of information gathering in health care and how it contributes to guiding the development of organizational practice.
    • Provide examples to support your description.
  • Identify potential problems that can arise with data gathering systems and output. 
    • What suggestions can you make for avoiding those problems?
  • Write clearly and concisely, using correct grammar and mechanics.
    • Express your main points and conclusions coherently.
    • Proofread your writing to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your proposal.
  • Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
    • Is your supporting evidence clear and explicit?
    • How or why does particular evidence support a claim?
    • Will your audience see the connection?
  • Additional Requirements
    Proposal Format and Length
    Format your proposal using APA style:
  • Use theAPA Style Paper Template [DOCX]provided. Be sure to include:
    • A title page and references page. An abstract is not required.
    • A running head on all pages.
    • Appropriate section headings.
  • See also theAPA Style Paper Tutorial [DOCX]to help you in writing and formatting your proposal.
  • Your proposal should be 5–7 pages in length,not includingthe title page and references page.
  • Supporting Evidence
  • Cite at least six sources of credible scholarly or professional evidence to support your proposal.
  • Apply APA formatting to all in-text citations and references.
  • Portfolio Prompt: You may choose to save your proposal to your ePortfolio.

Professional Development Assignment

Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.

It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.

To Prepare:

• Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.
• Consider how key regulations may impact nursing practice.
• Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion..

By Day 3 of Week 5

Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.